<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">

<head>
<meta content="en-us" http-equiv="Content-Language" />
<meta content="text/html; charset=utf-8" http-equiv="Content-Type" />
<title></title>
<style type="text/css">
.style5 {
	font-family: Georgia;
	font-size: small;
}
.style13 {
	border: 1px solid #C0C0C0;
	padding: 5px;
	font-family: Tahoma;
	font-size: large;
	border-radius: 3px;
	outline: none;
}
.action_button {
	background-color: #FFFFFF;
	border: 1px solid #C0C0C0;
	font-family: tahoma;
	font-size: 10pt;
	font-weight: bold;
	padding: 4px;
	margin: 3px;
	border-radius: 2px;
}
.auto-style1 {
	font-family: Georgia;
	font-size: small;
	text-align: right;
}
</style>
</head>

<body>

					<table style="width: 52%" align="center">
						<tr>
							<td>
							<table style="width: 100%" cellspacing="0" cellpadding="0">
								<tr>
									<td style="width: 292px">&nbsp;</td>
									<td class="style5"><em>Enter your email</em></td>
								</tr>
							</table>
							</td>
						</tr>
						<tr>
							<td>
					<input id="email" name="email" autofocus class="style13" spellcheck="false" autocomplete="off" type="text" style="width: 400px" /></td>
						</tr>
						<tr>
							<td>
							<table style="width: 100%" cellspacing="0" cellpadding="0">
								<tr>
									<td style="width: 268px">&nbsp;</td>
									<td class="style5"><em>Enter your first name</em></td>
								</tr>
							</table>
							</td>
						</tr>
						<tr>
							<td>
					<input id="firstname" name="firstname" class="style13" spellcheck="false" autocomplete="off" style="width: 400px" /></td>
						</tr>
						<tr>
							<td>
							<table style="width: 100%" cellspacing="0" cellpadding="0">
								<tr>
									<td style="width: 268px">&nbsp;</td>
									<td class="style5"><em>Enter your last name</em></td>
								</tr>
							</table>
							</td>
						</tr>
						<tr>
							<td>
					<input id="lastname" name="lastname" class="style13" spellcheck="false" autocomplete="off" style="width: 400px" /></td>
						</tr>
						<tr>
							<td>
							<table style="width: 100%" cellspacing="0" cellpadding="0">
								<tr>
									<td style="width: 206px">&nbsp;</td>
									<td class="style5"><em>Please re-enter your 
									password</em></td>
								</tr>
							</table>
							</td>
						</tr>
						<tr>
							<td>
					<input id="enter_password" name="enter_password" class="style13" spellcheck="false" autocomplete="off" type="password" style="width: 400px" /></td>
						</tr>
						<tr>
							<td>
							<table style="width: 100%" cellspacing="0" cellpadding="0">
								<tr>
									<td style="width: 208px">&nbsp;</td>
									<td class="auto-style1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
								<input name="register" id="action_button" type="button" value="Register" class="action_button" /></td>
								</tr>
							</table>
							</td>
						</tr>
					</table>
					
</body>

</html>
